Finding Peace in Suffering: Religiosity-Based Meaning-Making among Muslim Middle-Aged and Older Adults with Chronic Illness

Authors

  • Indira Ravly Rezaputra Universitas Merdeka Malang, Indonesia
  • Yusanti Zahro Aisiyah Universitas Muhammadiyah Malang, Indonesia
  • dr. Erli Marlina Ministry of Social Affairs of Republic of Indonesia, Universitas Syiah Kuala, Indonesia

DOI:

https://doi.org/10.22373/fjpa.v4i1.958

Keywords:

Religiosity, Meaning-Making, Chronic Illness, Self-Acceptance, Muslim Middle-aged and Older Adults

Abstract

Chronic illness generates not only physical suffering but also profound existential challenges, particularly among middle-aged and older adults. Within Muslim communities, religiosity often serves as a central framework for interpreting and coping with suffering. This study explores how Muslim middle-aged and older adults living with chronic illness construct religiosity-based meaning to foster self-acceptance and psychological adaptation. Integrating Pargament’s Religious Coping Theory, Frankl’s Logotherapy, and Park’s Meaning-Making Model, this study employed an Interpretative Phenomenological Analysis (IPA) approach with ten participants aged 35–75 diagnosed with various chronic conditions. Semi-structured interviews were thematically analyzed. Four major themes emerged: (1) Divine Attribution, viewing illness as part of God’s will; (2) Self-Acceptance through Surrender; (3) Spiritual Coping through prayer, religious practices, and medical adherence; and (4) Holistic Well-Being, where faith supports resilience and meaning reconstruction. A Religiosity-Based Meaning-Making Model is proposed, highlighting the central role of Islamic faith in promoting psychological well-being.

Downloads

Download data is not yet available.

References

Azami-Aghdash, S., Nouri, M., Rahimi, F., Amuzadeh-Araei, S., Abass, K. S., Aghababaeian, H., Koupaei, S. Y., Karami, S., & Rostampour, M. (2025). Effectiveness of spiritual health-based interventions in improving health indicators of patients in Iran: a systematic review and meta-analysis. BMC Psychology, 13(1), 938. https://doi.org/10.1186/s40359-025-03275-x

Behrendt, P., Boettcher, M., Zierke, K. T., Najem, S., Zapf, H., Reinshagen, K., Wößmann, W., & Boettcher, J. (2023). Health-Related Quality of Life and Mental Health of Children with Embryonal Abdominal Tumors. Children, 10(10), 1720. https://doi.org/10.3390/children10101720

Cucchi, A., & Qoronfleh, M. W. (2025). Cultural perspective on religion, spirituality and mental health. Frontiers in Psychology, 16. https://doi.org/10.3389/fpsyg.2025.1568861

Defifa, A., Dalimunthe, K. Z., Apendi, R. N., Indra, M. P. A., & Nisha, K. (2025). Kesehatan Dalam Perspektif Islam: Tubuh Sehat Untuk Ibadah yang Sempurna. Tashdiq: Jurnal Kajian Agama Dan Dakwah, 16(1), 141–150. https://ejournal.cahayailmubangsa.institute/index.php/tashdiq/article/view/4784

Dolcos, F., Hohl, K., Hu, Y., & Dolcos, S. (2021). Religiosity and Resilience: Cognitive Reappraisal and Coping Self-Efficacy Mediate the Link between Religious Coping and Well-Being. Journal of Religion and Health, 60(4), 2892–2905. https://doi.org/10.1007/s10943-020-01160-y

Elkhalloufi, F., Boutayeb, S., Lamrani, A. Y., Zakkouri, F. A.-Z., Jaouhari, M. El, & Errihani, H. (2022). Association Between Religiosity, Depression, and Anxiety Among Moroccan Cancer Patients. Journal of Religion and Health. https://doi.org/https://doi.org/10.1007/s10943-022-01538-0

El-Zoghby, S. M., Soltan, E. M., & Salama, H. M. (2020). Impact of the COVID-19 Pandemic on Mental Health and Social Support among Adult Egyptians. Journal of Community Health, 45(4), 689–695. https://doi.org/10.1007/s10900-020-00853-5

Frankl, V. E. (1958). On logotherapy and Existential Analysis. The American Journal of Psychoanalysis, 18(1), 28–37. https://doi.org/10.1007/BF01871876

Frankl, V. E. (1959). The spiritual dimension in existential analysis and logotherapy. Journal of Individual Psychology, 15(1), 157–165. https://psycnet.apa.org/record/1960-05943-001

García-Alandete, J. (2024). The Place of Religiosity and Spirituality in Frankl’s Logotherapy: Distinguishing Salvific and Hygienic Objectives. Journal of Religion and Health, 63(1), 6–30. https://doi.org/10.1007/s10943-023-01760-4

Han, G., Bai, Y., & Peng, G. (2022). Creating team ambidexterity: The effects of leader dialectical thinking and collective team identification. European Management Journal, 40(2), 175–181. https://doi.org/10.1016/j.emj.2021.06.004

Hassan, F., & Doğan, N. (2025). Investigation of the Acceptance of Illness and Religious Coping Styles Among Newly Diagnosed Cancer Patients: Ankara, Turkey. Journal of Religion and Health, 64(3), 2226–2241. https://doi.org/10.1007/s10943-025-02315-5

Iannello, N. M., Inguglia, C., Silletti, F., Albiero, P., Cassibba, R., Lo Coco, A., & Musso, P. (2022). How Do Religiosity and Spirituality Associate with Health-Related Outcomes of Adolescents with Chronic Illnesses? A Scoping Review. International Journal of Environmental Research and Public Health, 19(20), 13172. https://doi.org/10.3390/ijerph192013172

Joshanloo, M. (2022). The relationship between fatalistic beliefs and well-being depends on personal and national religiosity: A study in 34 countries. Heliyon, 8(6), e09814. https://doi.org/10.1016/j.heliyon.2022.e09814

Mud’is, H. (2023). Enhancing Intuition through Tazkiyatun Nafs: A Pathway to Preventing Unethical Conduct. International Journal of Nusantara Islam, 11(1), 47–56. https://doi.org/10.15575/ijni.v11i1.26222

Nabil, M. (2025). Amanah (trust) and Physician- Patient Relationship in Islamic Medical Ethics. Journal of The British Sslamic Medical Association, 19(7). https://www.jbima.com/article/amanah-trust-and-physician-patient-relationship-in-islamic-medical-ethics/

Nasrin, M. I. (2025). The Influence of Islamic Spiritual Values on Students’ Mental Health: A Special Focus on Tawakkul (توكُّل), Sabr (صبر) and Shukr(شكر). LECTURES: Journal of Islamic and Education Studies, 4(2), 260–272. https://doi.org/10.58355/lectures.v4i2.150

Onyishi, C. N., Eseadi, C., Ilechukwu, L. C., Okoro, K. N., Okolie, C. N., Egbule, E., & Asogwa, E. (2022). Potential influences of religiosity and religious coping strategies on people with diabetes. World Journal of Clinical Cases, 10(25), 8816–8826. https://doi.org/10.12998/wjcc.v10.i25.8816

Paik, Y.-G., & Sung, J. (2025). Learning about social suffering through illness narrative: possibilities and challenges. BMC Medical Education, 25(1), 978. https://doi.org/10.1186/s12909-025-07569-x

Pargament, K. I. (1997). The Psychology of Religion and Coping: Theory, Research, Practice. Guilford Press.

Park, C. L. (2010). Making sense of the meaning literature: An integrative review of meaning making and its effects on adjustment to stressful life events. Psychological Bulletin, 136(2), 257–301. https://doi.org/10.1037/a0018301

Park, C. L. (2013). The Meaning Making Model: A framework for understanding meaning, spirituality, and stress-related growth in health psychology. European Health Psychologist, 15(2). https://scholar.google.com/scholar_lookup?journal=European%20Health%20Psychologist&title=The%20meaning%20making%20model:%20A%20framework%20for%20understanding%20meaning,%20spirituality,%20and%20stress-related%20growth%20in%20health%20psychology&author=CL%20Park&volume=15&issue=2&publication_year=2013&pages=40-47&

SadatHoseini, A., Shareinia, H., Pashaeypoor, S., & Mohammadi, M. (2023). A cross-cultural concept analysis of healing in nursing: a hybrid model. BMC Nursing, 22(1), 252. https://doi.org/10.1186/s12912-023-01404-8

Safrilsyah, S., Karjuniwati, K., Damanhuri, D., Suud, F. M., Subhan, S., Darusman, Mhd. R., & Maghfirah, W. (2024). Dhikr Rateeb Siribee and its Effect in Reducing Anxiety Among the MPTT-I Aceh Congregation Members. Ulumuna, 28(1), 535–553. https://doi.org/10.20414/ujis.v28i1.1014

Saheeh International. (1997). The Qurʼān : Arabic text with corresponding English meanings: al-Qurʼān al-karīm maʻa tarjamat al-maʻānī bi-al-lughah al-Injilizīyah. Abul-Qasim Pub. House.

Sethuraman, K. R. (2024). Three Faith-based Factors in Healing – A Need to Relook in Modern Medicine. SBV Journal of Basic, Clinical and Applied Health Science, 7(4), 192–196. https://doi.org/10.4103/SBVJ.SBVJ_46_24

Shabani, M., Taheri-Kharameh, Z., Saghafipour, A., Ahmari-Tehran, H., Yoosefee, S., & Amini-Tehrani, M. (2023). Resilience and spirituality mediate anxiety and life satisfaction in chronically Ill older adults. BMC Psychology, 11(1), 256. https://doi.org/10.1186/s40359-023-01279-z

Smith, J. A., Larkin, M., & Flowers, P. (2021). Interpretative Phenomenological Analysis: Theory, Method and Research. SAGE Publications Ltd. https://digital.casalini.it/9781529780796

Takdir, A. M. (2025). Mindfulness-Based Cognitive Therapy (MBCT) for Reducing Symptoms and Preventing Relapse of Depressive Disorders: A Literature Review. Fathana, 3(2), 86–95. https://doi.org/10.22373/fjpa.v3i2.869

Takdir, A. M., Darusman, Mhd. R., & Devi, D. F. (2025). Transforming Negative Thoughts into Self-Confidence: The Impact of Cognitive Restructuring on Adolescents. Journal of Psychological Perspective, 7(1), 19–28. https://doi.org/10.47679/jopp.719982025

World Health Organization. (2025, September 25). Noncommunicable Diseases [Fact sheet]. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases

Xu, J. (2016). Pargament’s Theory of Religious Coping: Implications for Spiritually Sensitive Social Work Practice. British Journal of Social Work, 46(5), 1394–1410. https://doi.org/10.1093/bjsw/bcv080

Yoosefee, S., Tehrani, F.-J., & Azarpira, H. (2025). Effect of spiritual care programs on anxiety and quality of life of chronic respiratory patients. Journal of Education and Health Promotion, 14, 248. https://doi.org/10.4103/jehp.jehp_418_24

Downloads

Published

2026-01-30

How to Cite

Rezaputra, I. R., Zahro Aisiyah, Y., & Marlina, E. (2026). Finding Peace in Suffering: Religiosity-Based Meaning-Making among Muslim Middle-Aged and Older Adults with Chronic Illness. Fathana, 4(1), 35-51. https://doi.org/10.22373/fjpa.v4i1.958